Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.11 / $3,469.00 / $8,294.00	Facility		$213.11	$3,469.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.60 / $213.11 / $343.46	Professional		$157.60	$213.11	$343.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.30 / $194.08 / $286.86	Professional		$139.30	$194.08	$286.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $157.16 / $224.42 / $3,426.00	Professional		$157.16	$224.42	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $229.95 / $384.67	Professional		$150.94	$229.95	$384.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.20 / $228.24 / $344.40	Professional		$190.20	$228.24	$344.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.49 / $234.42 / $351.61	Facility		$162.49	$234.42	$351.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $273.05 / $375.93	Professional		$230.00	$273.05	$375.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $146.63 / $187.41 / $3,512.00	Facility		$146.63	$187.41	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $197.87 / $261.89 / $3,512.00	Professional		$197.87	$261.89	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.25 / $274.30 / $427.51	Professional		$169.25	$274.30	$427.51